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psnet.ahrq.gov/issue/applicability-healthcare-failure-mode-and-effects-analysis-healthcare-epidemiology-evaluation
October 19, 2022 - process flow diagram and how information obtained through interviews adds necessary detail to those flow charts
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psnet.ahrq.gov/issue/older-patients-engagement-hospital-medication-safety-behaviours
November 17, 2021 - preferred behaviors (e.g., verbal behaviors, self-administering medication, reviewing medication charts
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psnet.ahrq.gov/issue/descriptive-analysis-patient-misidentification-incident-report-system-data-large-academic
August 24, 2022 - Of the 293 reported incidents, the most common errors were missing wristbands , wrong charts or notes
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psnet.ahrq.gov/issue/finding-diagnostic-errors-children-admitted-picu
May 21, 2016 - diagnostic errors in the primary care setting —enabled improved detection of diagnostic errors compared to chart … Out of 214 high-risk patient charts, 26 were found to contain a diagnostic error.
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psnet.ahrq.gov/issue/medication-discrepancies-resident-sign-outs-and-their-potential-harm
March 28, 2011 - This study found significant discrepancies when comparing medication lists from patient charts with what … Nearly 30% of chart entries were inconsistent with the sign-out, and the majority of errors were omissions
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psnet.ahrq.gov/issue/impact-multidisciplinary-chart-reviews-opioid-dose-reduction-and-monitoring-practices
October 11, 2023 - Study
Impact of multidisciplinary chart reviews on opioid dose reduction and monitoring … Impact of multidisciplinary chart reviews on opioid dose reduction and monitoring practices. … This study describes a quality improvement program that included chart review of patients taking high-dose … Impact of multidisciplinary chart reviews on opioid dose reduction and monitoring practices.
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psnet.ahrq.gov/issue/out-hospital-pediatric-patient-safety-events-results-csi-chart-review
November 23, 2016 - Study
Out-of-hospital pediatric patient safety events: results of the CSI chart review … Out-of-Hospital Pediatric Patient Safety Events: Results of the CSI Chart Review. … In a chart review of all critically ill pediatric ambulance transports in Multnomah County, Oregon, researchers … Out-of-Hospital Pediatric Patient Safety Events: Results of the CSI Chart Review. … January 31, 2024
Reliability and usability of a 7-minute chart review tool to identify
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psnet.ahrq.gov/node/39175/psn-pdf
December 16, 2009 - Impact of a standard medication chart on prescribing
errors: a before-and-after audit. … Impact of a standard medication chart on prescribing errors: a
before-and-after audit. … collaborative process was used to develop a standardized medication
chart. … Implementation of the chart resulted in a reduction in medication errors, particularly those arising … https://psnet.ahrq.gov/issue/impact-standard-medication-chart-prescribing-errors-and-after-audit
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psnet.ahrq.gov/node/35281/psn-pdf
March 11, 2011 - Detection and prevention of medication errors using real-
time bedside nurse charting.
March 11, 2011
Nelson NC, Evans RS, Samore MH, et al. Detection and Prevention of Medication Errors Using Real-Time
Bedside Nurse Charting. Journal of the American Medical Informatics Association. 2005;12(4).
doi:10.1197/jamia.m…
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psnet.ahrq.gov/issue/hospital-workload-and-adverse-events
August 31, 2011 - Investigators reviewed more than 6800 patient charts at four different teaching hospitals and found workload … August 31, 2011
Comparison of computerized surveillance and manual chart review for adverse
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psnet.ahrq.gov/node/44630/psn-pdf
February 15, 2017 - Reduction of incorrect record accessing and charting
patient electronic medical records in the perioperative
environment.
February 15, 2017
Rebello E, Kee S, Kowalski A, et al. Reduction of incorrect record accessing and charting patient electronic
medical records in the perioperative environment. Health Informati…
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psnet.ahrq.gov/node/837759/psn-pdf
January 01, 2023 - Employee silence in health care: charting new avenues
for leadership and management.
August 3, 2022
Montgomery A, Lainidi O, Johnson J, et al. Employee silence in health care: Charting new avenues for
leadership and management. Health Care Manage Rev. 2023;48(1):52-60.
doi:10.1097/hmr.0000000000000349.
https://ps…
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psnet.ahrq.gov/node/40566/psn-pdf
June 29, 2011 - Comparison of computerized surveillance and manual
chart review for adverse events. … Comparison of computerized surveillance and manual chart review for
adverse events. … https://psnet.ahrq.gov/issue/comparison-computerized-surveillance-and-manual-chart-review-adverse-
events … found that computerized surveillance systems detected more hospital-acquired infections than
manual chart … https://psnet.ahrq.gov/issue/comparison-computerized-surveillance-and-manual-chart-review-adverse-events
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psnet.ahrq.gov/node/47163/psn-pdf
August 15, 2018 - Impact of multidisciplinary chart reviews on opioid dose
reduction and monitoring practices. … Impact of multidisciplinary chart reviews on opioid dose reduction and
monitoring practices. … https://psnet.ahrq.gov/issue/impact-multidisciplinary-chart-reviews-opioid-dose-reduction-and-monitoring … -
practices
This study describes a quality improvement program that included chart review of patients … https://psnet.ahrq.gov/issue/impact-multidisciplinary-chart-reviews-opioid-dose-reduction-and-monitoring-practices
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psnet.ahrq.gov/node/838917/psn-pdf
October 26, 2022 - The e-Autopsy/e-Biopsy: a systematic chart review to
increase safety and diagnostic accuracy. … The e-Autopsy/e-Biopsy: a systematic chart review to increase
safety and diagnostic accuracy. … https://psnet.ahrq.gov/issue/e-autopsye-biopsy-systematic-chart-review-increase-safety-and-diagnostic … https://psnet.ahrq.gov/issue/e-autopsye-biopsy-systematic-chart-review-increase-safety-and-diagnostic-accuracy … https://psnet.ahrq.gov/issue/e-autopsye-biopsy-systematic-chart-review-increase-safety-and-diagnostic-accuracy
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psnet.ahrq.gov/issue/scoping-review-methodological-approaches-used-retrospective-chart-reviews-validate-adverse
April 29, 2020 - Review
A scoping review of the methodological approaches used in retrospective chart … A scoping review of the methodological approaches used in retrospective chart reviews to validate adverse … Retrospective chart reviews are a common way to validate administrative datasets, and this review identified … A scoping review of the methodological approaches used in retrospective chart reviews to validate adverse
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psnet.ahrq.gov/node/43671/psn-pdf
December 10, 2014 - reducing-emergency-department-charting-and-ordering-errors-room-number-
watermark-electronic
This survey found that physicians chart
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psnet.ahrq.gov/issue/performing-inadvertent-procedure
October 16, 2019 - Comparison of accuracy of physical examination findings in initial progress notes between paper charts
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psnet.ahrq.gov/issue/adverse-events-neonatal-intensive-care-unit-development-testing-and-findings-nicu-focused
April 11, 2011 - study used methodology similar to a prior study in adult intensive care unit patients to develop a chart-based … Through an expert consensus process, 17 triggers were identified and used to screen charts from 15 NICUs … Use of this chart-based review process may help identify specific patient populations at high risk for
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psnet.ahrq.gov/innovation/reducing-preventable-patient-harm-due-retained-surgical-items-rsi-bundle
July 23, 2024 - The Tableau platform provides many useful visualizations such as monthly charts and “days between harm … ” charts. … The Tableau platform provides many useful visualizations such as monthly charts and “days between harm … ” charts.